| NPI | 1053710012 |
|---|---|
| Doing Business As | MCLEOD GYN SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | KENNETH D. BEASLEY Senior Vice President 843-777-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2022-06-07 |